You are using an outdated browser. Please upgrade your browser to improve your experience.

You are using an outdated browser.

To ensure optimal security, this website will soon be unavailable on this browser. Please upgrade your browser to allow continued use of ACP websites.

You are here

MKSAP 19 - CME, MOC, and CPD Information for Physicians

The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American College of Physicians designates each enduring material for the number of AMA PRA Category 1 Credits™ listed below. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of these CME activities, which includes participation in the evaluation component, enables the participant to earn medical knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification program. Participants will earn MOC points equivalent to the number of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

CME credit and MOC points are available from August 31, 2021, to August 31, 2024 for Part A:

Sections Maximum CME/MOC Credits
Gastroenterology and Hepatology 24 AMA PRA Category 1 Credits
24 medical knowledge MOC points
General Internal Medicine 1 28.5 AMA PRA Category 1 Credits
28.5 medical knowledge MOC points
Infectious Disease 27 AMA PRA Category 1 Credits
27 medical knowledge MOC points
Oncology 18 AMA PRA Category 1 Credits
18 medical knowledge MOC points
Nephrology 27 AMA PRA Category 1 Credits
27 medical knowledge MOC points
Neurology 24 AMA PRA Category 1 Credits
24 medical knowledge MOC points
Part A Total 148.5

Note: As required by the Accreditation Council of Continuing Medical Education (ACCME), the 3-year CME periods begin with the publication of each section listed above. Part B content (Cardiovascular Medicine, Endocrinology and Metabolism, General Internal Medicine 2, Hematology, Pulmonary and Critical Care Medicine, and Rheumatology) will be available on January 31, 2022.

The American Medical Association has determined that physicians not licensed in the United States who participate in this CME activity are eligible for AMA PRA Category 1 Credits™.

Submitting Your Tests

To earn CME credit or to apply for MOC points, answer at least one of two questions correctly (earning a score of at least 50%). Each single MKSAP 19 self-assessment question qualifies for one quarter of an AMA PRA Category 1 Credits™ or ABIM MOC point. Enter your answers by accessing the MKSAP Questions through the left-panel Questions Bank tab, clicking the “View MKSAP Questions” button, and selecting the preferred subspecialty section to begin answering questions. You can then click the “Claim CME” button once you qualify for CME credit and are ready to submit. Learners should keep in mind their yearly CME and MOC deadlines when determining the appropriate time to submit. You can track your CME/MOC submission progress and print out certificates on the MKSAP 19 Digital CME/MOC/CPD page.

Learning Objectives

The learning objectives of MKSAP 19 are designed to:

  • Close gaps between actual care in your practice and preferred standards of care, based on best evidence
  • Diagnose disease states that are less common and sometimes overlooked or confusing
  • Improve clinical management decisions that affect patient safety and quality of care
  • Determine when to refer patients for care by medical subspecialists, surgeons, and other members of the health care team
  • Pass the ABIM Certification Examination
  • Pass the ABIM Maintenance of Certification Examination

Target Audience

  • General internists and primary care physicians
  • Subspecialists who need to remain up-to-date in internal medicine
  • Residents preparing for the ABIM Certification Examination in Internal Medicine
  • Physicians preparing for Maintenance of Certification Examination in Internal Medicine

Publisher's Information

MKSAP 19 Copyright ©2021

American College of Physicians

All rights reserved. This publication is protected by copyright. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or mechanical, including photocopy, without the express consent of the ACP. MKSAP 19 is for individual use only. Only one account per subscription will be permitted for the purpose of earning CME credits and MOC points and for other authorized uses of MKSAP 19.

Important copyright information from the ACP

Unauthorized reproduction of this publication is unlawful. The ACP prohibits reproduction of this publication or any of its parts in any form either for individual use or for distribution. The ACP will consider granting an individual permission to reproduce only limited portions of this publication for his or her own exclusive use. Send requests in writing to MKSAP Permissions, American College of Physicians, 190 North Independence Mall West, Philadelphia, PA 19106-1572, or email your request to

Published in the United States of America.


You can use MKSAP 19 to submit for CME, MOC, and CPD only if you are an individual subscriber who has purchased MKSAP 19 from an ACP or an authorized distributor. Please email if you have any questions. Your subscription is not transferable to other users. Sharing your subscription will compromise the security of your confidential CME, MOC, and CPD history, undermine your account billing, and disrupt tracking of your CME, MOC, and CPD records. The ACP disclaims all responsibility and liability for any improper or unauthorized use of an individual's order.

If you are an ACP member, a transcript of your participation in MKSAP 19 and all other ACP-sponsored CME activities is available online as a benefit of your ACP membership. The online listing at compiles all CME credits that you have earned during the past 6 years. Records will be updated 6 to 8 weeks after receipt of documentation of your participation in ACP-sponsored activities.

Disclosure Policy

It is the policy of the American College of Physicians (ACP) to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. To this end, and consistent with the policies of the ACP and the Accreditation Council for Continuing Medical Education (ACCME), contributors to all ACP continuing medical education activities are required to disclose all financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. Contributors are required to use generic names in the discussion of therapeutic options and are required to identify any unapproved, off-label, or investigative use of commercial products or devices. Where a trade name is used, all available trade names for the same product type are also included. If trade-name products manufactured by companies with whom contributors have relationships are discussed, contributors are asked to provide evidence-based citations in support of the discussion. The information is reviewed by the committee responsible for producing this text. If necessary, adjustments to topics or contributors' roles in content development are made to balance the discussion. All relevant relationships are mitigated. Readers of this text are asked to evaluate the content for evidence of commercial bias and send any relevant comments to so that future decisions about content and contributors can be made in light of this information.

Contributors' disclosure information can be found in Contributors and Conflict of Interest Disclosures.

Resolution of Conflicts

To resolve all conflicts of interest and influences of vested interests, ACP’s content planners used best evidence and updated clinical care guidelines in developing content, when such evidence and guidelines were available. All content underwent review by external peer reviewers not on the committee to ensure that the material was balanced and unbiased.

System Requirements

MKSAP 19 Online

Newest version of one of the following browsers:

  • Google Chrome
  • Microsoft Edge
  • Firefox
  • Safari 14.2 or greater

Please note that both cookies and JavaScript need to be enabled.

Note about other operating systems:

While it is not possible to officially support all versions of all operating systems, the current version of MKSAP 19 Digital is designed to function properly on the vast majority of web browsers that are included in current mobile device operating systems, e.g., Apple iOS (iPod Touch/iPhone/iPad), Android smartphones, Microsoft Windows Phone and other smartphone operating systems not listed above, ChromeOS (Google Chromebooks), Windows-based netbooks; and other Android-based tablet devices.

MKSAP 19 Apps


  • Windows 10 or later
  • Intel Pentium 4 or later processor
  • 750 MB available disk space
  • 2 GB RAM

Mac OS

  • Mac OS X 11.5 (Big Sur) or later
  • 750 MB available disk space
  • 2 GB RAM


  • iOS 14.7.1 or later
  • 400 MB available disk space


  • Android 11 or later
  • 400 MB available disk space


Royal College of Physicians & Surgeons of Canada: MOC Credits

This activity is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification (MOC) Program of the Royal College of Physicians and Surgeons of Canada and approved by the Canadian Society of Internal Medicine. You may claim a maximum of 300 hours (credits are automatically calculated). Physicians should only claim credit commensurate with the extent of their participation in the activity. Accreditation is valid from August 31, 2021, to December 31, 2024.

How Royal College Fellows can earn MOC credits

After answering at least one of two individual questions correctly within a subspecialty section (earning a score of at least 50%) and submitting for CME credits, you will earn one quarter of a credit hour per individual question and will receive an email with your certificate of completion confirming that you have earned CME credits. Visit the Royal College MAINPORT site to input your hours (Royal College ID and password required). When inputting your hours, note that the MKSAP 19 activity number is 00013153.

Royal Australasian College of Physicians: CPD Credits

Fellows of the Royal Australasian College of Physicians (RACP) can claim Continuing Professional Development (CPD) credits for MKSAP participation in the RACP’s online MyCPD program.

We recommend claiming your activity under MyCPD Category 1 – Educational Activities, worth 1 credit per hour. The MyCPD framework and further CPD information is available in the MyCPD interactive Handbook.